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Don't forget the toes: Managing patients with ANCA vasculitis
Season 1 · Episode 98

Don't forget the toes: Managing patients with ANCA vasculitis

Healio Rheuminations

September 29, 202521m 48s

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Show Notes

Active or not active, that is the question. In this week's episode we interview Alexandra Villa-Forte, MD, MPH, a staff physician in the Center for Vasculitis Care and Research at Cleveland Clinic and a leading vasculitis expert, on a pragmatic approach to recognizing disease activity in patients with ANCA vasculitis.

  • · Intro 0:01
  • · Welcome Alexandra Villa-Forte, MD, MPH 0:10
  • · Dr. Brown sketches a potential patient that may be seen in practice 0:40
  • · How are you monitoring patients' kidneys? 1:28
  • · How reliable are 'no casts' results in urinalysis tests? 4:15
  • · What is happening in the glomeruli? 5:23
  • · The importance of monitoring the urinalysis of patients with ANCA vasculitis 7:06
  • · Symptoms to watch for when tapering off medications 7:43
  • · Different scenarios with lung symptoms 9:35
  • · Evaluating patients with GPA; looking at the nose, ear and sinuses 12:20
  • · Neurologic symptoms in ANCA vasculitis 14:24
  • · Laboratory monitoring 15:52
  • · Should ANCA titers be a part of routine vasculitis monitoring? 17:05
  • · What is your approach using PJP prophylaxis in ANCA-associated vasculitis? 18:05
  • Thank you, Dr. Villa-Forte! 20:25

We'd love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

Disclosures: Brown reports no relevant financial disclosures. Healio was unable to confirm relevant financial disclosures for Villa-Forte at the time of publication.